<div class="new_mn">
        	<b class="spbg2 corner tl"></b>
    		<b class="spbg2 corner tr"></b>
    		<b class="spbg2 corner bl"></b>
    		<b class="spbg2 corner br"></b>
    		<div class="titlebar-smenu clearfix">
    			<a href="">Apply for money</a>
    		</div>
    		<form action="adminb-mlm-dopaypal" method="post">
    		<table class="list" border="1" cellpadding="0" cellspacing="0" bordercolor="#b9b9b9" style="border-collapse:collapse;">
    			<tr>
    				<td style="padding-right: 5px; text-align: right;"><b>Paypal account：</b></td>
    				<td style="padding-left: 5px; text-align: left;"><input type="text" name="paypalAccount" /></td>    				
    			</tr> 
    			<tr>
    				<td style="padding-right: 5px; text-align: right;"><b>Apply for money：(1 credits = $1)</b></td>
    				<td style="padding-left: 5px; text-align: left;">$<input type="text" name="amount" /></td>    				
    			</tr> 
				<tr>
					<td align="center" colspan="2">
						<input style="margin:10px;" id="confirmBtn" type="submit" value="提交" />
					</td>		
				</tr>
    		</table> 
    		</form>
 </div>